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I understand from your complaints and history, the condition is at the level of functional or metabolic derangement. All your laboratory reports (attachment removed to protect patient identity) indicate that you are structurally normal. The functional aspect of body needs to be corrected with few medicaments and diet regimen. Before that please answer few questions for better treatment plan. What is your age? Is there any dryness of mouth, weakness, tiredness or giddiness? Do you take any regular medication?
By saying twitches do you mean it as uncontrolled jerky movements of body or a part of body or eyebrows? Is it continuous? Or does it get aggravate in particular time, with particular food or activity or when anxious? What makes you feel relieved such as rest or hot water? Apart from that, is there any gas formation in stomach and a bloatedness, farting or belching? Do you feel any burning sensation in stomach or chest or eyes or palms and sole? Do you have vomiting sensation?
How many times you open your bowel daily? Is the stool regular or hard like constipation? Is there any pain in opening bowels? Is there any itch or blood? How is your appetite? Can you tolerate if the food is delayed? Can take enough food or just a little will satisfy your hunger? Did you get any burning sensation after voiding? What is the color of your urine? How is your sleep? Disturbed or a good one? Do you sleep in daytime? Are you working late night? Give a brief note about your daily routine.